@layout("/common/_form.html",{js:["/assets/modular/system/btyZxFeiyongfentan/btyZxFeiyongfentan_add.js"],css:["/assets/expand/module/formSelects/formSelects-v4.css"]}){

<form class="layui-form" id="btyZxFeiyongfentanForm" lay-filter="btyZxFeiyongfentanForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">基本信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" type="hidden"/>

                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">妖码<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="yaoma" name="yaoma" placeholder="请输入妖码" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">门店名称<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <select name="name" lay-filter="name">
                                <option value="">下拉单选框</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">开业日期<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="kyrq" name="kyrq" placeholder="请输入开业日期" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">类型；0->店面房租,1->工资  ,2->配送进货<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <select name="type" lay-filter="type">
                                <option value="">下拉单选框</option>
                            </select>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">装修费用<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="cost" name="cost" placeholder="请输入装修费用" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">科目id<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="kemuId" name="kemuId" placeholder="请输入科目id" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">关键字id<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="keywordId" name="keywordId" placeholder="请输入关键字id" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">卡号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="kh" name="kh" placeholder="请输入卡号" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">状态： 1->已生成, 2->未生成<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="status" name="status" placeholder="请输入状态： 1->已生成, 2->未生成" type="text" class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>

</form>

@}